Organization
JOHN BROOKS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ZIMMER (BILLING SUPERVISOR)
(609) 345-2020
Entity
Organization
Contact information
Practice address
660 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232
(609) 345-2020
(609) 646-7027
Mailing address
660 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232
(609) 345-2020
(609) 646-7027
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2000079
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
2000275
NJ
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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